Analysis of curative effects of surgery through transsylvian-insular approach on hypertensive basal ganglia hemorrhage
SUN Qing
LIU Yong-chun
YOU Wan-chun
GAO Wei
LU Ting
Li Jin-quan
CHEN Gang
WANG Zhong
Abstract：Objective To investigate the curative effects of surgery through transsylvian-insular approach on hypertensive basal ganglia hemorrhage (HBGH). Methods The clinical data of 59 patients with HBGH, of whom, 40 underwent the surgery through transtemporal cortex approach (control group) and 19 through transsylvian- insular approach (observed group), were analyzed retrospectively. The outcomes of surgery were compared between both the groups. Results The rate of finding the artery responsible for bleeding was significantly higher in the observed group (42.1% , 8/19) than that (10% , 4/40) in the control group (P<0.05). The postoperative rebleeding rate (0.0%) was significantly lower in the observed group than that (20.0%, 8/40) in the control group (P<0.05). GOS scores [(3.7±1.4) points] half a year after the surgery was significantly higher in the observed group than that [(2.6±1.4) points] in the control group (P<0.05). The improvement rate of hemiplegia (82.4%, 14/17) was also significantly higher in the observed group than that (51.9%, 14/17) in the control group (P<0.05). Conclusion The tanssylvivan-insular approach microsurgery is helpful to reducing the rebleeding rate and improvement of the prognosis in the patients with basal ganglia hemorrhage.
Keywords：Hypertensive basal ganglia hemorrhageSurgical approachMicrosurgeryPrognosis
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 16-18 )